Lisa Marie Mahoney APRN

NPI 1720479561 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1720479561
Gender Female
Enumeration Date 02/16/2015
Last Updated 02/16/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3901 RAINBOW BLVD
KANSAS CITY KS, 66160-8500, US
Phone (913) 588-5000
Fax
Business Location
3901 RAINBOW BLVD
KANSAS CITY KS, 66160-8500, US
Phone (913) 588-5000
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Kansas
License Number 76711
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According to our database, Lisa Marie Mahoney APRN NPI is 1720479561, taxonomy code is 363LA2200X and license number is 76711, license state is located at Kansas. Lisa Marie Mahoney APRN physically located at 3901 Rainbow Blvd, Kansas City KS, 66160-8500. NPI Number Lisa Marie Mahoney APRN has the Individual type.

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1720479561 NPI number is provided on an as is basis without warranty of any kind. 1720479561 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marie Mahoney APRN are for informational purposes only.